The Journey Through a Pregnancy or Infant Loss
Transcription
The Journey Through a Pregnancy or Infant Loss
The Journey Through a Pregnancy or Infant Loss If you had a pregnancy loss, lost a baby or know someone else who has, you do not have to go through grief alone. Prepared by Valley Circle of Friends Pregnancy and Infant Loss Support Group Table of Contents Grief ..............................................................................................................................................................................1 Types of Pregnancy and Infant Loss ...................................................................................................................1 Miscarriage .............................................................................................................................................................1 Ectopic (Tubal) Pregnancy .................................................................................................................................3 Stillbirth and Newborn Death.............................................................................................................................3 Will a Loss Happen Again? ....................................................................................................................................4 Grieving .......................................................................................................................................................................5 Parents ....................................................................................................................................................................5 Looking After Yourself ....................................................................................................................................7 Intimacy ...............................................................................................................................................................7 Anger....................................................................................................................................................................7 Depression .........................................................................................................................................................8 Talking .................................................................................................................................................................8 Grandparents .........................................................................................................................................................8 Family Members and Friends ............................................................................................................................9 Talking with Children ......................................................................................................................................... 10 How to Tell Children ....................................................................................................................................... 10 Talking to Children About Feelings ........................................................................................................... 10 Memories .................................................................................................................................................................. 11 Anniversaries ....................................................................................................................................................... 12 How Children Can Help Remember ............................................................................................................... 12 Where can you get help? ...................................................................................................................................... 12 Valley Circle of Friends Pregnancy and Infant Loss Support Group ........................................................ 13 Suggested Reading and Resources .................................................................................................................. 14 Books ..................................................................................................................................................................... 14 Videos (VHS & DVD) ........................................................................................................................................... 14 Websites or Online Resources ........................................................................................................................ 14 Your Journey ........................................................................................................................................................... 17 Missing Not Knowing You .................................................................................................................................... 18 Grief Grief is a powerful feeling. It takes a lot of energy, but you must grieve to heal. Each person grieves differently. Grieving a loss of a child is one of the most difficult things families have to go through. This booklet will talk about coping with your grief and the grief of family and friends. Grief is something you work through rather than “get over”. It is a healthy, normal part of your emotional recovery. There are no rules or “right way” to do it. Some common reactions to grief include: • • • • • • • • • • • • • • lack of energy, fatigue confusion numbness anxiousness unsettled, sighing being unable to make simple decisions heart palpitations anger sleeplessness loss of appetite inability to concentrate nightmares headaches withdrawal from social activities Types of Pregnancy and Infant Loss Your baby has died and all you want is for everything to be the same as it was before your loss. Normal will never be the same; you need to find a way to create a new normal in your life. No one can take your pain away. You are forever changed. There are different types of pregnancy and infant loss. The following talks about some of them. Miscarriage A miscarriage is a pregnancy that has ended before 20 weeks. The loss of a pregnancy often involves more than a physical loss of a baby. There are many ways to react to a miscarriage. You may feel devastated, or have minimal emotional reaction about your loss. Both are normal. There is a wide range of emotions following miscarriage, and it can be a confusing time in your life. Some mourn and are hurt by others who do not think they should feel so sad. Others may feel little grief. Emotional healing is as important as physical healing. Give yourself permission to grieve and remember your baby’s brief life any way you feel is right for you and your family. 1 Ectopic (Tubal) Pregnancy An ectopic or tubal pregnancy happens when an egg is fertilized outside of the uterus. Most ectopic pregnancies occur in the fallopian tubes (known as a tubal pregnancy) with rare cases in the abdomen, on the ovary, or within the cervix. Unfortunately, the diagnosis of an ectopic pregnancy has no happy ending; most often these pregnancies result in surgery to save the mother’s own life. Physically, recovering from an ectopic pregnancy depends upon the type of procedures or surgeries you have had. Emotionally, recovering from a pregnancy loss has no time line. Feelings of grief, anger, denial, helplessness, confusion and loneliness are common. You may be trying to deal with these emotions, recover from surgery, and worry about future pregnancies at the same time. Taking care of yourself is very important as you try to make sense of what has happened. Seek out someone to listen and be compassionate, to help you through this difficult time in your life. Stillbirth and Newborn Death Stillbirth is the death of a baby after the 20th week of pregnancy and before delivery. Newborn death is the loss of a newborn after delivery. Parents are never prepared to hear that their baby has died. When you were given the news about your baby’s death, everything may have felt like it was going too fast, like a bad dream. You were overwhelmed. Your thoughts go back to what happened during your pregnancy, labour, delivery, or your baby’s short life as you try to make sense of your grief. Your baby’s life and death are important. You may have a deep need to hold your baby or hear them cry. You may feel like you have lost a part of yourself and feel betrayed by your body, especially when your milk comes in. If you had a stillbirth, the fact that you still needed to birth your baby seemed cruel. The most commonly asked question is "Why did my baby die?" This question can’t always be answered. The baby and placenta will be examined following delivery, but there may not be anything visible cause of death. 3 What group means to me…… When I had my stillbirth, I felt so alone. How can this be happening to me, I was healthy and safe. I didn’t drink, smoke, or do anything dangerous. My perception on this sort of thing was that it happened to people who had some sort of accident. I didn’t realize that it could just happen. Group is a safe place, a place without judgement and it has been a great help to me. In memory of Hudson Carl Mar. 11, 2010 Lindsey You may or may not have made the decision for your baby to have an autopsy (examined after death). Just know that the decision was the best choice you could have made at the time for you and your baby. The results of the autopsy may not give you any answers as to why your baby died. How very softly You tiptoed into our world Almost silently Only a moment you stayed But what an imprint Your footprints have left on our hearts Some only dream of angels, we held one in our arms! Those who have lost an infant/child are never as they were. This support group offers so much emotionally that you can learn to move on in your lives and be happy again. (I like to call it the new normal). You will never forget your special someone and that memory becomes a treasure…a treasure that you will remember forever, like we do. In memory of David Roy Sept. 1999 Tina & Darren Understand that in most cases there are no symptoms or anything that would have alerted your health care providers to the problem. Many times they may not have specific answers to your questions about why your baby died. The intense situation and the lack of knowing the cause of your baby's death causes parents to grieve deeply. Your hopes and dreams that started months ago for this child are gone. You and your family will be forever changed. It is hard to imagine any greater pain than that of losing a child. There is a word in the English language for a person who has lost their parents; an orphan. We have a word for someone who has lost a spouse; a widow or widower. But we have no word for someone who has lost a child. The very thought of losing a child is too painful to put into words. Will a Loss Happen Again? Losing a baby usually doesn’t mean that you can’t have more children. It also doesn’t mean there is anything wrong with your health. Talk to your doctor about whether medical factors were involved in your loss. For many parents, the thought of having another baby brings comfort. Others may feel that they are betraying their baby by trying to “replace” the baby who has died. The “right” time to think about another baby will depend on your needs. Your doctor may be able to give you a time line for when your body will be ready to try to have another baby. Trust yourself about the timing of when you feel you are ready to try again. 4 Grieving Parents Grieving is a way to put your world back together and start to heal the wounds left by the death of your child. Your instinct may be to keep your emotions in check, to be strong and carry on. But unresolved grief can cause serious emotional and physical problems. It is hard work to deal with your grief, but necessary to move forward and create a new normal in your lives. You may feel out of control, worried about your family. Your confidence may be shaken. You might find yourself asking “how can you make this all right?” and looking for answers that may or may not be there. This is a difficult time; please don’t forget yourself when you are trying to comfort those around you. Be patient with yourself and others, we all grieve differently. Some common feelings during grief include: • anger • sadness • bitterness about your loss • guilt • blaming yourself or others • disappointment • • • • • • loneliness emptiness longing helplessness stress depression All of these feelings and many more are normal. Your partner may deal with the loss differently than you. They may be trying to be “strong” for you. Sometimes one partner will be more outwardly upset than the other and the roles may switch back and forth as each takes care of the other. Talk to your partner about your feelings. Because infant deaths happen unexpectedly, nearly every parent feels in some way responsible for the baby’s death until the facts are explained. Often one parent blames the other, or relatives blame one or both of the parents. Families sometimes blame a childcare provider or the doctor who told them the baby was healthy a short time before the death. Parents may blame themselves for something they did or neglected to do. “If only” becomes a familiar phrase. Parents might find themselves angry at God, and religious beliefs may be questioned. 5 I soon realized that my husband and I were going in different directions in our grief. With love & support and a lot of patience with each other we walked out of the black tunnel together. We didn’t want our son’s death to become a wall between us. We learned through the support group – grief will wait until you take the time to work through it. We created, what Wayne liked to call, a “new normal” for our family, when we realized that normal was never going to be the same again. In memory of our son, Nicholas Dale Gregory Feb 8, 1998 Lesley & Wayne Worrying about “going crazy” is part of the grief process and a normal way people cope with the death of someone they love. Anger, assigning blame, and defensiveness are normal emotions and are part of your grief process. As you work through the grief process, the emotional ups and downs will lessen. All couples grieve differently. Men tend to bury their grief and keep their feelings to themselves, often unable to talk about their emotions or cry openly, while women generally like to “talk out” their grief. There is no right or wrong way to grieve. You may find that you want more time alone to think things through or to cry. Try to give each other time and space to work out these very personal feelings, but also make time to be together to talk about your feelings. We felt so alone after the loss of our son. People had lots of empathy, but we did not feel anyone could comprehend the level of grief one has after losing a child. The group provided a different level of healing because we received hope that the pain would get easier, this was so very hard to believe because it was such a deep emotional life altering pain. The group is a place where it was safe to share our feelings. Everyone in the group understood and could talk about their feelings, which were similar, and told us with time it wouldn’t hurt so bad. We will forever be grateful for the group and all the love and support we received that helped us heal. In loving memory of our beautiful babies Lynnea & Chris Some mothers want to “join their baby” in death. This is normal, but if you have thoughts of suicide that include a plan you need to talk to someone right away (Call Mental Health Crisis Response Services - 902-679-2870 / 902825-4825 or 911) Hobbies, sports, work, and volunteering are all good pastimes as long as they are not overused. For example, working until you drop tends to cut you off and in the end contributes to your loneliness. Parents working outside the home are “distracted” by their work, while parents working as homemakers are surrounded by constant reminders. Society doesn’t understand. If the child is an infant or if you have had a miscarriage, people may assume that there hasn’t been enough time to form much of a bond, so they expect your grieving will be short lived. The loss of a child, no matter what the age, is the loss of a promise. Nothing can be more difficult to deal with. The loss of a child creates such deep wounds, which are so slow to heal but re-open so fast. Death and grief are often taboo subjects of conversation for most people. We are not taught how to cope with death. Be kind to yourself. Take the steps to allow the grief process to heal you. 6 Looking After Yourself You have a right to grieve. Grief is hard work. It can take months or even years to get to a peaceful acceptance of your baby’s death. Time is needed to heal and lessen the extreme sadness. Avoid making important decisions while you are grieving. Have faith that as you work through your grief, you will feel better. You will never forget your child. As you heal, the memories surrounding your baby will become treasures and will be less painful, and more peaceful to recall. As you begin to make choices, you may find that you feel better. If you are having trouble with daily activities (eating, sleeping), ask your health care provider about therapy options. Be gentle with yourself and take care of your body. Don’t expect too much. Release your grief, don't keep it bottled up. If you do not show your grief, you may risk prolonging your healing and being able to return to a "normal" state. Get enough rest, exercise, eat well, cut down or stop smoking and drinking alcohol. Find someone to listen, like your partner, family, friend, faith community, and support group are some great options. Find informative and compassionate people to help you through this time in your life. Ask questions, indulge yourself and try to ask for what you need. Remember they may not know what to say and may say the wrong things when they think they are being helpful. Learn to forgive your friends and family for these mistakes. Remember you are not alone. Accept support from others. Consider coming to the Valley Circle of Friends Pregnancy and Infant Loss Support Group. The support group offers you a safe place to turn where you will no longer feel alone. Intimacy If your child has died at any time during the pregnancy, normal sexual relations may not be possible for physical reasons. Intimacy may also be affected for emotional reasons. This may add to your loneliness. Holding hands, a brief hug, a phone call just to say thinking of you can help to bring you closer. Anger Many people find they are angry. You may find that little things get you “hot under the collar”, and you may look for someone or something to blame. The hardest thing is knowing where to direct this anger. If you find yourself taking out your feelings on your family or co-workers unjustly try to find another outlet and ask for forgiveness and patience from others as you work through your grief. Perhaps some work or play related physical activity or talking to a trusted friend or professional can ease your anger. 7 Depression Depression can be described as an emptiness, loss of energy, tearfulness or a negative attitude. Try to recognize the signs early. Then what to do about it? Depending on your personality you may find solitary walks, or physical activity allows you time to remember. For some taking a coffee or lunch break where no one knows you can help. Be cautious in the use of drugs and alcohol. If feelings of depression get more severe, you need to talk to someone Call Mental Health Crisis Response Services - 902-679-2870 / 902-825-4825 for help. Talking Some of us are good at talking, and for many it is a release. If you are comfortable talking, find several trusted friends, family, a support group or a professional to share your feeling with. The Valley Circle of Friends Pregnancy and Infant Loss Support Group is a safe place to share and talk, or even just listen to other family’s stories. Grandparents Losing a grandchild is a unique loss because it is a double loss. You grieve for your grandchild and you grieve for your child. Dreams are shattered when your child loses a baby. You may find you are sad and in pain, and your sorrow may make you feel powerless to help your own child. This baby’s loss may cause shock, disbelief, panic, distress, and anger. It seems so unreal. You may feel that you were supposed to be the one to go first, so the order of loss is reversed. Grandparents have an important role. Your child is grieving and using their strength for themselves and may not recognize your pain. You have lost a grandchild. Your pain and confusion are real. Distance may prevent the close contact you need to understand what is going on with your child. You may not want to impose or you may feel you are letting your child down by not being able to control your own grief. Some emotions may seem strange. It is ok to show your grief and talk about it with your child. At this time, take good care of yourself as you search for ways to give back and make sense of this experience. Question, express your feelings, use your faith community and seek help when it is needed. Exercise, eat a well balanced diet, rest when needed and encourage humour and lightness in your day. Trying to find a reason for the loss may lead to blaming yourself or others. Parents and grandparents may wonder if their genes caused the death. Blaming adds more guilt, stress and pain. Some may be angry that they are alive and their grandchild is not. 8 Grief takes form through feelings of hopelessness, emptiness, lack of interest, fatigue, and it makes it hard to concentrate. You can feel disorganized. Feelings during mourning can only be dealt with by expressing them the best way you can. Find someone you trust to talk to. Try painting or writing your feelings down. Releasing your feelings helps you go through the grief process as you cry, talk and grieve with your child. Grief does not leave unless we work at it, each in our own way. Feeling organized does come with time, as feelings of a “new” normal start, as you talk, journal, ask for help, and express your needs. Although it is hard to do, the best role a grandparent can take is a supportive guide. Ask the parents what you can do to help. Sometimes little things like getting a meal ready, grocery shopping, bill paying or laundry can seem overwhelming to grieving parents. Offer to help out with the day-to-day tasks. The parents may or may not ask for your help. Offer specific help (for example, getting a meal ready) but don’t try to rescue or deny your child their pain. Parents often want to do things themselves at the time they feel is right for them. Include the baby in conversations to ease the parents and their pain. Honour the memories and offer your support for as long as needed. If you are expecting another grandchild, worry surrounding your new grandchild may be especially troubling to you. You may want to seek someone to talk to or go to a support group. Celebrate the grandchildren you may have now. Continue to keep room in your heart for the infant who has died. Family Members and Friends Your loss can be devastating and painful for your loved ones. They may not know how to help you, especially if they are also grieving. They may be unable to tell you how they are feeling. Often, they may feel helpless, powerless and useless because they don’t know how to help. Your partner, family and friends often feel helpless and thankful that you are physically recovering from this trauma. Sometimes people around you may say things that can be hurtful, only because they do not understand what you are going through. Unless they have experienced a pregnancy loss themselves, they may never completely understand. Prepare yourself because people may unintentionally make hurtful statements: “You can always have more children”; “This is God’s will”, “If you want children, and you can borrow mine”. 9 Unfortunately, people will try to ignore grief or hide from it and they think they are helping. Those you normally trust and lean on may need education on your grief. Family and friends can provide love and understanding by allowing you to express your feelings, and make decisions such as when to take down the crib, or to put the baby's clothes away. Let your loved ones know that sometimes just a few simple words like "I'm sorry" is enough. Listening can also be one of the best medicines. Talking with Children When there are other children waiting to welcome a new baby, parents have the difficult task of explaining to their children what has happened and how they feel about it. Young children think that death is a temporary situation so they may think the baby is away and will come back. Because they do not understand the finality of death, they may not understand the sadness you are experiencing or feel sad themselves. They are concrete thinkers and don’t understand abstract words like God, heaven, hell, angel, and soul. They can understand that “dead” means the baby cannot move, breathe, see, or hear. How to Tell Children First think through how your child or children might understand what you are about to say. When you feel ready, sit in a quiet, comfortable place where your child will feel the security of your presence. Put your arm around them if that is normal for you. Tell your child that your family has been looking forward to a new baby. Something has happened. The baby has died and will not be coming home to live with you after all. (If you know the reason why, tell it to your child in simple terms i.e. the baby was missing something in its body it needed to live. Then reassure your child that they are not missing anything in their body.) If you do not know why, tell them you do not know. It is something that happens sometimes. Children at this age think magically. Reassure your child that it was nothing they said, did, or thought that had anything to do with the baby dying. Talking to Children About Feelings Tell your child you feel very sad about the baby’s death. Explain that you might cry sometimes, and this is normal when someone has died. Your child may or may not feel sad. That is OK either way. Reassure your child you are very glad they are with you, and that you are not sad about them. Your tears are your own tears and they are not the cause. They have done nothing to make you cry. It is the baby’s death that causes you to cry. 10 Tell your child to ask you any questions they might have and to talk about the baby when they want to. Lines of communication about the death should be kept open for years since children’s questions and ability to understand change as they develop. They will need more complete information over time. Involve your other child or children in expressing their feelings about the baby through pictures or talking to you. Memories Putting away the baby’s things is an important release for your feelings and can be done anytime you feel you are ready. You may want to hold onto something that belonged to your baby for comfort and a reminder of your baby. You do not get an official birth certificate or death certificate when you have an ectopic pregnancy, miscarriage or stillbirth, but this does not mean your baby is invisible. You are still a Mom, you are still a Dad, you are still a grandparent. Your baby's life is important! Parents, grandparents, siblings, family, and friends may find these will help them memorialize the baby: ♥ If you haven’t named your baby, you can do this now. ♥ Hold a memorial service, light candles, have readings, sing. Have as many or few people as you want. Call the hospital Chaplain and ask if there is a memorial service you can attend. ♥ Create a memory book or box, positive pregnancy results, ultrasound pictures, cards, poems, plans for baby’s room, etc. ♥ Create a memory garden, plant flowers, trees, scatter seeds, or bury a note or other mementos. ♥ Make a memory stone to place in an existing garden or graveside. ♥ Buy a small reminder of your baby, something to keep in a special place or with you all the time (stuffed animal, angels, and pendant). ♥ Write a poem to make cherished memories and reflect on what your baby meant to you. ♥ Use a journal to express what you are feeling. ♥ Wear a piece of jewellery to remember your child. ♥ Keep a journal or make a tape of the story of your baby’s brief life. ♥ Make a donation in your baby’s memory and give any gifts to a worthy cause. ♥ Fill in the “certificate of life” at the end of this booklet to have as a keepsake. Remember your baby. Talk about your baby. Include them in conversations. Gradual good-byes are better. However you choose to honour your baby’s life, will be treasured memories. 11 Arranging the funeral is also an important gift the parents can give their baby. Talking to others helps to remember the details of your baby’s birth, life and death and helps to ease some of the pain. Explain your feelings in terms of your emotions; disappointments, worries, anger, and guilt. The need to know “why” can be shared with partners and family members. You may have to let people know that talking about your baby is helpful to you. Anniversaries You will remember the day your child died for many years, perhaps forever. At birthdays, many parents think about how old this child would have been. You may find yourself looking at children of a similar age and be revisited by your grief. Try to speak your thoughts to others who share your grief. Special holidays and family get-togethers may be difficult. If your child did not survive until the due date, you may have difficulty remembering all the dates. Write important dates down so you can plan something to honour your child that you can do together as a family. How Children Can Help Remember If you have pictures or mementos of your baby, (i.e. pictures, baby blanket, measuring tape etc.) show them to your child. You might talk about having them help plant a shrub or tree to remember the baby. Where can you get help? Couples grieve differently. Find other supportive people and/or a support group to help. Don’t be afraid to ask questions or ask for help from the people around you. Take your time because these are important decisions. Your baby’s life and death are important. Other than your health care provider, partner, friends, family and colleagues, there are other people willing to help you. There is a group of parents who have lost a baby through ectopic pregnancy, miscarriage, stillbirth or newborn death. The Valley Circle of Friends meets once a month at the Eastern Kings Memorial Health Centre in Wolfville. Members of the group are willing to visit you or you may choose to attend the meetings. Valley Circle of Friends Valley Circle of Friends is a support group for families who have experienced a pregnancy or infant loss. This support group enables you to meet other parents who understand your experience. 12 Valley Circle of Friends Pregnancy and Infant Loss Support Group Every 2nd Wednesday of each month at EKMCHC, 23 Earnscliffe Ave, Wolfville (Corner Meeting Room) at 7:00 pm valleycircleoffriends@gmail.com For further information call: Public Health Services Wolfville: 542-6310 Berwick: 538-3700 Middleton: 825-3386 Annapolis Royal: 532-0490 13 Suggested Reading and Resources Read materials and books that have been recommended by others that have experienced a loss. Books These books and more are available at Valley Circle of Friends Mills, Joyce C. (2004) Gentle Willow: A Story for Children about Dying Friedman, R. MD. & Gradstein, B .MPH (1992) Surviving Pregnancy Loss Gryte, Marilyn. (1988) No New Baby: For Siblings Who Have a Brother or Sister Die Before Birth Kohn, I. & Moffett, P. (1993) A Silent Sorrow – Pregnancy Loss. Saynor John K. (1990) Saying goodbye Ilse, Sherokee (1994) Single Parent Grief Ilse, Sherokee & Hammer Burns, Linda (2006) Miscarriage: A Shattered Dream Rank, Maureen (2004) Free to Grieve: Healing and Encouragement for Those Who Have Suffered Miscarriage and Stillbirth Videos (VHS & DVD) Leaney, C. Silver,M. & Torrance, J. (1995) Unsung Lullabies - Miscarriage talked about and frequently misunderstood – Personal stories about miscarriage – [48 min]. No Time to Cry Productions Inc. Hamilton, C., Paraclete Press., & Paraclete Video Productions. (1997). Footprints on our hearts: how to cope after a miscarriage, stillbirth or newborn death. [78 min] Brewster, MA: Paraclete Press. Websites or Online Resources These are some websites we found helpful. First Candle - A nonprofit organization dedicated to safe pregnancies and the survival of babies through the first years of life • www.firstcandle.org Ectopic Pregnancy Foundation - educates and increases ectopic pregnancy awareness • www.ectopicpregnancy.org A Place to Remember - Uplifting support resources for those who have been touched by a crisis in pregnancy or the death of baby • www.aplacetoremember.com Sidelines - support for families facing high-risk pregnancies • www.sidelines.org 14 Certificate of Life “In an instant you changed our lives forever” To acknowledge the life of _________________________________________ (Baby) Who’s life, though brief, will never be forgotten by _________________________________________ (Parents/Family) ___________________________ (Date) Forever Loved, Forever Remembered Your Journey You can use this space to write your own story or notes that may help you in your grieving journey __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Missing Not Knowing You I never held you in my arms, But I knew that you were here. I never saw your little face, But in my mind I see it clear. I'll never hold you to my breast, But in my heart I'll hold you dear. I'll never sing you a lullaby, But my voice I know you can hear. I know for now you’re safe and sound, The angels have taken you in. They hold you in their loving arms, Where mine should have been. They'll sing you songs like mothers do, And keep you safe and warm. So for a time they may hold you my child. I'll be here taking care, Of the children who need your Mommy's love, The love you wanted to share. -T.J. Dawson April 18, 1999 COMPLIMENTS? CONCERNS? We want to know! SAFE CARE & QUALITY SERVICES is our goal. WE VALUE your feedback. Call our Satisfaction Line: 679-2494 or toll free 1-800-866-9757 Is published by AVH Corporate Office 15 Chipman Drive Kentville, NS B4N 3V7 annapolisvalleyhealth.ca AVH promotes a smoke free and scent free environment. This Booklet may be copied and is available on the AVH Website. To be revised 2016 Prepared by – Pregnancy and Infant Loss Committee, AVH A special Thank You to First Candle for their contributions to the content of this book and to the parents from Valley Circle of Friends for sharing their stories.